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General NPI Number Information
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NPI Number | 1518773589
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Entity Type | Organization
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Legal Business Name | M MANAGEMENT GROUP LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 4922 LASALLE RD
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3302
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Country | US
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Telephone | 301-864-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 4806 U ST NW
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City | WASHINGTON
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State | DC
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Zip | 20007-1546
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Country | US
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Telephone | 202-543-4800
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KRYSTLE D BROWN
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Credential |
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Telephone | 410-800-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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